Non-descent vaginal hysterectomy versus total abdominal hysterectomy in fibroid uterus: a comparative study in tertiary care hospital in Uttarakhand, India

Goswami, Deepti; Ramola, Monika; Gupta, Vineeta; Kumari, Nidhi; Kumari, Rashmi

doi:10.18203/2320-1770.ijrcog20162654

Cited by 4 publications

(4 citation statements)

References 14 publications

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“…The incidence of pyrexia, wound infection, vault infection and secondary suturing was high in TAH as compared to NDVH which is similar to study done by Mehta K et al, Goswami et al ,Chen B et al and . 11,17,18 In this study resuturing was needed in 2 % cases of TAH which was similar to study done by Bharatnur S. 19 Mc Cracken et al in their study also concluded that intra-operative and post-operative morbidity were lesser in vaginal hysterectomy compared to abdominal hysterectomy and that vaginal hysterectomy is an acceptable method of hysterectomy despite previous belief that it is contraindication in certain conditions. 20…”

Section: Discussionsupporting

confidence: 84%

Comparative Study of Non-descent Vaginal Hysterectomy with Total Abdominal Hysterectomy

Shrestha¹,

Shrestha²,

Ray

2021

J Coll Med Sci-Nepal

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IntroductionHysterectomy is the most common operation performed by gynecologist worldwide. In the present era emphasis is given on minimal invasive surgery so Non-Descent Vaginal Hysterectomy (NDVH) has gained more interest over Total abdominal Hysterectomy (TAH). NDVH has several benefits over TAH in terms of blood loss, operating time, post-operative complications, recovery and hospital stays. The objective of the study was to compare the clinical outcome of NDVH over TAH with respect to operating time, blood loss, hospital stays, intraoperative and early postoperative complication and to find out the most efficient route for hysterectomy. MethodsThe study was conducted at College of Medical Science-Teaching Hospital, Bharatpur, Chitwan, Nepal between May 2017- May 2020. Fifty cases each of NDVH and TAH group fulfilling the selection criteria were included in the study. Outcome was measured on the basis of operating time, blood loss, hospital stay and intra an d post-operative complications. ResultsBaseline characteristics were similar between both the groups. The most common indicationfor hysterectomy in both the group was fibroid uterus. There was no intra-operativecomplication in NDVH group but in TAH group bowel injury was encountered in 3 cases.The operating time, blood loss, hospital stay and post-operative complications were less inNDVH as compare to TAH ConclusionsNDVH is the better choice of surgery than TAH for the non-prolapsed uterus, size less than12 weeks with benign pathology.

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Section: Discussionsupporting

confidence: 84%

Comparative Study of Non-descent Vaginal Hysterectomy with Total Abdominal Hysterectomy

Shrestha¹,

Shrestha²,

Ray

2021

J Coll Med Sci-Nepal

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“…In our study, the pain perception on the third postoperative day was significantly less in the vaginal group with a mean Numeric pain score of 2.79 when compared to a 4.11 score in the abdominal group. A similar result was also proved by the study conducted by Goswani et al, where there was less postoperative pain in the vaginal group when compared to the abdominal group [ 12 ]. The study by Miskry and Magos also revealed that vaginal hysterectomy patients had reduced analgesic requirements when compared to those who underwent abdominal hysterectomy [ 13 ].…”

Section: Discussionsupporting

confidence: 82%

Comparative Study of Vaginal Hysterectomy and Total Abdominal Hysterectomy in Non-descent Uterus in a Rural Tertiary Care Center

Alamelu¹,

K.R²,

Sridhar³

et al. 2023

Cureus

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Aim To study the role of vaginal hysterectomy in non-descent uterus and to compare it with abdominal hysterectomy with respect to operative time, intraoperative blood loss and complications, ambulation, and postoperative complications. Materials and methods A prospective non-randomized study was carried out on 200 cases at a rural tertiary care center in B.G. Nagara, Karnataka, India for a period of 18 months after obtaining institutional ethical committee approval. One hundred patients underwent a vaginal hysterectomy, and there other 100 underwent an abdominal hysterectomy for similar indications. Results Mean age, parity, mode of delivery, BMI, uterine size, and anesthesia were similar between the groups. The most common indication was fibroid uterus (50%). It was found that the vaginal hysterectomy group was associated with significantly reduced mean operative duration and a decline in postoperative Hemoglobin when compared to the abdominal hysterectomy group. Patients who underwent vaginal hysterectomy had less postoperative pain and were ambulated earlier and discharged earlier. Also, postoperative complications were more common in those who underwent abdominal hysterectomy. Conclusion Vaginal hysterectomy is a safe and the least invasive route and is associated with lesser complications and should be chosen as the preferred method of hysterectomy, whenever feasible.

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“…They found that the 80% cases of NDVH were finished within ninety minutes whereas time required for TAH cases were mostly more than 90 minutes. 10,11 In a study by Pranathi et…”

Section: Discussionmentioning

confidence: 99%

Our experience on non-descent vaginal hysterectomy: a forgotten skill

Sharma

Gupta

Nigam

2023

Int J Reprod Contracept Obstet Gynecol

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Background: Hysterectomy is the most commonly performed major gynecological procedure. It can be done by different routes like abdominal or vaginal or laparoscopic route. Vaginal route of hysterectomy is undoubtedly less popular these days due to inclination towards laparoscopic route by both surgeon as well as patients. Keeping this is mind we have planned this paper to share our experience of Non Descent Vaginal Hysterectomy at a tertiary level hospital. Methods: A retrospective study was conducted at the department of obstetrics and gynecology of Vardhmann Mahavir Medical College & Safdarjung hospital, New Delhi over the period of one year. All the patients undergoing non -descent vaginal hysterectomy for benign indication with adequate vaginal access, without suspected adnexal pathology, who did not have any uterine descent were included in the study. In bigger size uterus morcellation techniques like bisection, debulking, myomectomy, slicing was used to remove the uterus. Intraoperative findings and post-operative complications were recorded. Statistical analysis was done. Results: During the study period total 138 hysterectomies were performed. Most of the women were in the age group of 46 to 50 years (50%). All patients were parous. In 56% patients, uterine size was 8-10 weeks. Fibroid uterus (37%) followed by adenomyosis (27%) was the commonest indication for hysterectomy. The most common complication was febrile morbidity (n=13) followed by urinary tract infection (n=9). Conclusions: Non descent vaginal hysterectomy procedure in hand of a skilled surgeon can be done upto 14 weeks uterine size.

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Non-descent vaginal hysterectomy versus total abdominal hysterectomy in fibroid uterus: a comparative study in tertiary care hospital in Uttarakhand, India

Cited by 4 publications

References 14 publications

Comparative Study of Non-descent Vaginal Hysterectomy with Total Abdominal Hysterectomy

Comparative Study of Non-descent Vaginal Hysterectomy with Total Abdominal Hysterectomy

Comparative Study of Vaginal Hysterectomy and Total Abdominal Hysterectomy in Non-descent Uterus in a Rural Tertiary Care Center

Our experience on non-descent vaginal hysterectomy: a forgotten skill

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